Associations of depression and anxiety symptoms with sexual behaviour in women and heterosexual men attending sexual health clinics: a cross-sectional study. (27th February 2019)

• Record Type: Journal Article
• Authors: Coyle, Rachel Margaret; Lampe, Fiona C; Miltz, Ada Rose; Sewell, Janey; Anderson, Jane; Apea, Vanessa; Collins, Simon; Dhairyawan, Rageshri; Johnson, Anne M; Lascar, Monica; Mann, Sue; O'Connell, Rebecca; Sherr, Lorraine; Speakman, Andrew; Tang, Alan; Phillips, Andrew N; Rodger, Alison
• Other Names: author non-byline.; Gilson Richard J author non-byline.; Asboe David author non-byline.; Nwokolo Nneka C author non-byline.; Clarke Amanda author non-byline.; Gompels Mark M author non-byline.; Allan Sris author non-byline.; Scott Christopher author non-byline.; Day Sara author non-byline.; Fisher Martin author non-byline.; Lascar Monica author non-byline.; Farazmand Paymaneh author non-byline.; Mann Susan author non-byline.; Dhar Jyoti author non-byline.; Ivens Daniel R author non-byline.; Sadiq Tariq author non-byline.; Hart Graham J author non-byline.; Miners Alec author non-byline.; Elford Jonathan author non-byline.; Perry Nicky author non-byline.; Brady Michael author non-byline.; Obeyesekera Sharmin author non-byline.; Saunders John author non-byline.; Taylor Stephen author non-byline.; Gilleran Gerry author non-byline.; Stretton Cathy author non-byline.; Fisher Martin author non-byline.; Clarke Amanda author non-byline.; Perry Nicky author non-byline.; Youssef Elaney author non-byline.; Richardson Celia author non-byline.; Kerr Louise author non-byline.; Roche Mark author non-byline.; Stacey David author non-byline.; Kirk Sarah author non-byline.; Gompels Mark author non-byline.; Jennings Louise author non-byline.; Holder Caroline author non-byline.; Baker Katie-Anne author non-byline.; Robinson Matthew author non-byline.; Street Emma author non-byline.; Allan Sris author non-byline.; Shomoye Abayomi author non-byline.; Nwokolo Nneka author non-byline.; Ogilvy Ali author non-byline.; Mguni Sfiso author non-byline.; Clark Rebecca author non-byline.; Sajani Cynthia author non-byline.; Espa Veronica author non-byline.; Asboe David author non-byline.; Day Sara author non-byline.; Ladd Sarah author non-byline.; Mann Susan author non-byline.; Brady Michael author non-byline.; Syred Jonathan author non-byline.; Hamza Lisa author non-byline.; Campbell Lucy author non-byline.; Wandolo Emily author non-byline.; Alagarajah Janagan author non-byline.; Dhar Jyoti author non-byline.; Mashonganyika Linda author non-byline.; Batham Sally author non-byline.; Gilson Richard author non-byline.; Trombin Rita author non-byline.; Milinkovic Ana author non-byline.; Oakland Clare author non-byline.; Makoka Nyasha author non-byline.; Wilson Ruth author non-byline.; Green Elizabeth author non-byline.; O'Connor Sheila author non-byline.; Kempster Sarah author non-byline.; Keating-Fedders Katie author non-byline.; Ivens Daniel author non-byline.; Tyrrell Nicola author non-byline.; Rogers Jemima author non-byline.; Belmondo Silvia author non-byline.; Sohal Manjit author non-byline.; Sadiq Tariq author non-byline.; Majewska Wendy author non-byline.; Patterson Anne author non-byline.; Okolo Olanike author non-byline.; Cox David author non-byline.; Tarik Mariam author non-byline.; Jackson Charlotte author non-byline.; Honigsbaum Jeanette author non-byline.; Boggon Clare author non-byline.; Ghosh Simone author non-byline.; Kelly Bernard author non-byline.; Aroney Renee author non-byline.; Hand James author non-byline.; Makoka Nyasha author non-byline.; Scott Christopher author non-byline.; Makoka Nyasha author non-byline.; Phiri Elias author non-byline.; Maseko Zandile author non-byline.; Partridge Nick author non-byline.; Orton Kay author non-byline.; Nardone Anthony author non-byline.; Sullivan Ann author non-byline.;
• Is Part Of: Sexually transmitted infections. Volume 95:issue 4(2019)
• Page Start: 254
• Page End: 261
• Publication Date: 2019-02-27
• Subjects: genitourinary medicine services -- sexual health -- sexual behaviour -- clinical care; Sexually transmitted diseases -- Periodicals; HIV infections -- Periodicals; 616.951005
• DOI: 10.1136/sextrans-2018-053689
• Languages: English
• ISSNs: 1368-4973

Abstract

Abstract : Objective: To assess the association of symptoms of depression and anxiety with sexual risk behaviour and history, among women and heterosexual men attending genitourinary medicine (GUM) clinics. Methods: Attitudes to and Understanding of Risk of Acquisition of HIV (AURAH) was a cross-sectional, self-administered questionnaire study recruited from 20 GUM clinics in England, 2013–2014. This analysis included women and heterosexual men. The prevalence of depression and anxiety symptoms was assessed. Modified Poisson regression was used to produce adjusted prevalence ratios (aPR) for the association of t demographic, socioeconomic and lifestyle factors with depression and anxiety, adjusted for gender, age, ethnicity, education level and study region. Among individuals reporting sex in the past 3 months, associations of depression and anxiety with sexual risk behaviour and history were assessed separately by gender, adjusted for age, ethnicity, study region, education and relationship status. Results: Questionnaires were completed by 676 women and 470 heterosexual men. Depression symptoms were reported by 100 (14.8%) women and 33 men (7.0%). Anxiety symptoms were reported by 79 women (11.7%) and 21 men (4.5%). Among women reporting recent sex, those with depression symptoms were more likely to report condomless sex with a non-regular partner, aPR 1.38 (1.07–1.77) and recent condomless sex with two or more partners, 1.80 (1.25–2.59). Women with anxiety symptoms more likely to report recent condomless sex with two or more partners, 1.68 (1.13–2.50), low self-efficacy for condom use, 1.54 (1.02–2.31) and STI diagnosis in the last year 1.51 (1.04–2.20). Among heterosexual men reporting recent sex, depression and anxiety symptoms were associated with low self-efficacy with condom use, 2.32 (1.29–4.19) for depression and 2.23 (1.26–3.94) for anxiety, but not with measures of condomless sex. Discussion: The associations between psychological symptoms and sexual risk behaviours highlight the importance of holistic assessment of need by both general and sexual health clinicians. We highlight the challenge in delivering holistic care associated with fragmentation of sexual health services.